Individual provider Active NPI

Grace Chiang, MD

  • Allergy & Immunology Physician
  • Marietta, GA
National Provider Identifier
1750556106
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
062321 Issued in GA
Practice address
3747 Roswell Rd Ste 205
Marietta, GA 30062
Phone
(770) 333-2027
Fax
(770) 333-2031
NPI assigned
Apr 28, 2008
Last updated
Oct 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 2008010182 MO
Allergy & Immunology Physician 207K00000X 062321 GA Primary

Addresses

Primary practice location

3747 Roswell Rd Ste 205
Marietta, GA 30062

Mailing address

805 Sandy Plains Road
Medical Staff Services
Marietta, GA 30066-6340

Other practice location 1

4480 N Cooper Lake Rd SE
Suite 101
Smyrna, GA 30082-4622
Phone (770) 333-2027

Other practice location 2

4480 N Cooper Lake Rd SE
Suite 101
Smyrna, GA 30082-4622
Phone (770) 333-2027

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gchiang4352@directwellstar.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090918000250 GA Practitioner - Allergy/Immunology 2860548716 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
University of Wisconsin School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

3747 Roswell Rd
Suite 205
Marietta, GA 30062-6227
Phone (770) 956-9050

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
062321GAMDAllergy & Immunology Physician
2008010182MOMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC CurrentSince Apr 1, 2011 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Apr 1, 2011 Accepting new patients
Wellstar Cardiovascular Medicine, LLC Past Accepting new patients

Locations

5150 Stilesboro Rd NW
Ste 120
Kennesaw, GA 30152
Phone (678) 354-0230

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

3747 Roswell Rd
Ste 205
Marietta, GA 30062
Phone (470) 956-9050

805 Sandy Plains Rd
Marietta, GA 30066
Phone (770) 792-1616

4480 N Cooper Lake Rd SE
Ste 101
Smyrna, GA 30082
Phone (770) 333-1305

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1750556106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 SANDY PLAINS ROAD",
            "address_2": "MEDICAL STAFF SERVICES",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300666340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3747 ROSWELL RD STE 205",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "30062",
            "telephone_number": "770-333-2027",
            "fax_number": "770-333-2031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4480 N Cooper Lake Rd SE",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "GA",
            "postal_code": "300824622",
            "country_code": "US",
            "telephone_number": "770-333-2027",
            "fax_number": "770-333-2031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4480 N Cooper Lake Rd SE",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "GA",
            "postal_code": "300824622",
            "country_code": "US",
            "telephone_number": "770-333-2027",
            "fax_number": "770-333-2031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHIANG",
        "first_name": "GRACE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-28",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MO",
            "license": "2008010182",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "GA",
            "license": "062321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gchiang4352@directwellstar.org",
            "affiliation": "N",
            "address_1": "3747 Roswell Rd Ste 205",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300626227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.